Amandeep Kaur Johal, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009408 Issued in CA

Practice address

1140 Main St
Livingston, CA 95334

Phone

(209) 394-7913

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amandeep Kaur Uppal Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandeep.johal.p3@direct.livingstoncommunity.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
  • NPI 1427110329
  Medicare reassignment NPD
• Livingston Community Health

  • Federally Qualified Health Center (FQHC)
  • Patterson, CA
  • NPI 1295184117
  NPD
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1649099151
  NPD
• Lumira Healthcare

  • Community/Retail Pharmacy
  • Livingston, CA
  • NPI 1073175675
  NPD (past)
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hughson, CA
  • NPI 1508408550
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1639663248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7913",
            "fax_number": "209-394-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "95334",
            "telephone_number": "209-394-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHAL",
        "first_name": "AMANDEEP",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009408",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95063589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDEEP",
            "last_name": "UPPAL",
            "middle_name": "KAUR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jocelyn Hidalgo
• Larry Lee Hite
• Sylvia Patricia Jasso
• Marisela Jeronimo
• Blanca Belen Jimenez, EMT
• Mandeep Kaur Kailey
• Navneet Kakkar, DDS
• Mark Kallini
• Mandeep Kaur Dhillon
• Gulshandeep Kaur

• Family Nurse Practitioner in Livingston, CA
• Providers in Livingston, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.